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I've been on pain med's since 2005, I recently tested positive for heroine (6-mono-acetylmorphine), I've never, ever have done this narcotic. What can I do? Can someone give me some advice or recommend a good doctor?

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18 Replies |Watch This Discussion | Report This| Share this:what can i do???I've been on pain med's since 2005, I recently tested positive for heroine (6-mono-acetylmorphine), I've never, ever have done this narcotic. What can I do? Can someone give me some advice or recommend a good doctor?

Have them test you again... some otc meds will give a false positive on a simple urine test. Tell them exactly what kind, if any, otc (over the counter) you've been taking and have them test you again.

Good luck to you!

Lori

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Report This| Share this:what can i do???Have them test you again... some otc meds will give a false positive on a simple urine test. Tell them exactly what kind, if any, otc (over the counter) you've been taking and have them test you again.

Strange opioids like fentanyl, and bupe generally don't show up on the opiate panels though.

Once the opiate panel is positive, then it can be sent for GC or MS for confirmation and determination of the drug(s)' metabolite present.

Heroin created in clandestine laboratories (jungle labs) will have many by-products in it due "short-cuts" in production made to save money. I think tar is the result of one particular "short-cut" in the process, but since people still buy it, they'll keep making it.

Strange opioids like fentanyl, and bupe generally don't show up on the opiate panels though.

Once the opiate panel is positive, then it can be sent for GC or MS for confirmation and determination of the drug(s)' metabolite present.

Heroin created in clandestine laboratories (jungle labs) will have many by-products in it due "short-cuts" in production made to save money. I think tar is the result of one particular "short-cut" in the process, but since people still buy it, they'll keep making it.

Hi,It seemsm like there is alot of people having problems getting these U.A>S done the right way way!It really makes me wonder!I have not had to take one for quite awhile and I ;ll say it;s a releif because I hear of alot of misinformed findings and its not fair to those of us who are ligite!!! Thank God we all have eachother and our Higher power !For me its God and he is helping me to make through everyday! Yeah God!

77grace

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Report This| Share this:what can i do???Hi,It seemsm like there is alot of people having problems getting these U.A>S done the right way way!It really makes me wonder!I have not had to take one for quite awhile and I ;ll say it;s a releif because I hear of alot of misinformed findings and its not fair to those of us who are ligite!!! Thank God we all have eachother and our Higher power !For me its God and he is helping me to make through everyday! Yeah God!

77Grace, I don't know anything about this new industry. But, it has grown so rapidly and become so lucrative and all with no regulations or oversite. It seems that when tox screens are done by the Lab that is in a doctors office or a reputable hospital, the cost is more reasonable and the results are more accurate. But that's just my opinion. Maybe if people complained to places like the Better Business Bureau when they are charged over certain amounts, it might eventually make a difference. As long as people pay these amounts, nothing will change. They could also change doctors. The main problem is when the results are inacccurate and the doctor doesn't take the time to listen to his patient and do a retest. Then it is in your medical record. You have the right to include "your side" in your medical records. But trying to find a new doctor to take a patient because they had a positive drug screen is another obstacle.

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Report This| Share this:what can i do???77Grace, I don't know anything about this new industry. But, it has grown so rapidly and become so lucrative and all with no regulations or oversite. It seems that when tox screens are done by the Lab that is in a doctors office or a reputable hospital, the cost is more reasonable and the results are more accurate. But that's just my opinion. Maybe if people complained to places like the Better Business Bureau when they are charged over certain amounts, it might eventually make a difference. As long as people pay these amounts, nothing will change. They could also change doctors. The main problem is when the results are inacccurate and the doctor doesn't take the time to listen to his patient and do a retest. Then it is in your medical record. You have the right to include "your side" in your medical records. But trying to find a new doctor to take a patient because they had a positive drug screen is another obstacle.

Blessedlady is right if you are Clean and have in fsct not taken anything that you should not,Do not turn tale and run,because 1.No doctor is going to touch you with a ten foot pole2.Your medical record will for the rest of your life be wrong3.By accepting the dismissal you are saying "guilty" silently4.You will suffer in Pain needlessly

Talk to your Doctor,have you been with this doctor since 2005 and have a clean record this should be no big deal,get a retest have a GCMS panel done for drugs of abuse and it will show what you are taking and how much is in your system enclosed in this will be one of mine so you can see what they look like and how in depth they are,fight for yourself and tour right to care.

i have no small step for man, but i have 6 tires for mankind,Watch your Toes!

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Report This| Share this:what can i do???Blessedlady is right if you are Clean and have in fsct not taken anything that you should not,Do not turn tale and run,because 1.No doctor is going to touch you with a ten foot pole2.Your medical record will for the rest of your life be wrong3.By accepting the dismissal you are saying "guilty" silently4.You will suffer in Pain needlessly

Talk to your Doctor,have you been with this doctor since 2005 and have a clean record this should be no big deal,get a retest have a GCMS panel done for drugs of abuse and it will show what you are taking and how much is in your system enclosed in this will be one of mine so you can see what they look like and how in depth they are,fight for yourself and tour right to care.

I have not had any of the strange side effects, and I do not have to drive to work so it is easy to time doctor appts. etc. for at least 8-12 hours after my last dose. The half life is only 2.2 hours, from what I have read, far better for me than temazepam. But everyone is different.

Temazepam is a benzo, as you know. Are you looking for something long term or just during the 90 day opiate holiday?

I have not had any of the strange side effects, and I do not have to drive to work so it is easy to time doctor appts. etc. for at least 8-12 hours after my last dose. The half life is only 2.2 hours, from what I have read, far better for me than temazepam. But everyone is different.

Temazepam is a benzo, as you know. Are you looking for something long term or just during the 90 day opiate holiday?

The Restoril would be for drug holiday. My MD and I had discusses a benzo for wd sx; we discussed loraz, diaz, and alpraz, with the latter my not wanting straight away as it has little antispasmotic value.

When I read Temaz, it was like a light bulb going off in the cartoons. It may be the agent to kill the two birds, as the saying goes.

I was prescribed Ambien one in-patient stay. I know that it could have been a dosage thing and this been amended.

Reportedly, I awakened during the night, ate some chocolates that were on my bedside table, offered the CNA some, had a brief chat with her, and remember none of the above.

This was in 2007. I had not heard of the awakening and eating adv response until after that time.

I had an appt to see PM on Friday, but the office closed due the blizzard. I was, then going to go yesterday, but street hadn't yet been plowed , the snow was four feet deep, and my car was buried.

If the driving ban has been lifted, then I can go today.

We have been housebound since Thurs.

We're getting another storm tomorrow, so the low-pressure system is already among us and all I feel is pain. I do fine with the cold, but the low pressure is very difficult for me

The Restoril would be for drug holiday. My MD and I had discusses a benzo for wd sx; we discussed loraz, diaz, and alpraz, with the latter my not wanting straight away as it has little antispasmotic value.

When I read Temaz, it was like a light bulb going off in the cartoons. It may be the agent to kill the two birds, as the saying goes.

I was prescribed Ambien one in-patient stay. I know that it could have been a dosage thing and this been amended.

Reportedly, I awakened during the night, ate some chocolates that were on my bedside table, offered the CNA some, had a brief chat with her, and remember none of the above.

This was in 2007. I had not heard of the awakening and eating adv response until after that time.

I had an appt to see PM on Friday, but the office closed due the blizzard. I was, then going to go yesterday, but street hadn't yet been plowed , the snow was four feet deep, and my car was buried.

If the driving ban has been lifted, then I can go today.

We have been housebound since Thurs.

We're getting another storm tomorrow, so the low-pressure system is already among us and all I feel is pain. I do fine with the cold, but the low pressure is very difficult for me

Yep I still use either Restoril 15 or Dalmane 30 every night as i have for the last 21 years, they are Lifesavers for me because if i miss more than a couple of days in a row of sleep It gets ugly really ugly fast, the PTSD monsters that i have control over take control and i become super hyper vigilant well at losing myself in depression and becoming scared of any man that comes near me and a whole bunch of other stuff related to my captivity and abuse as a P.O.W. it sucks and it was bad the first time let alone reliving it over and over and something setting you off so that you are in one long continuous flashback.

i have no small step for man, but i have 6 tires for mankind,Watch your Toes!

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Report This| Share this:what can i do???Yep I still use either Restoril 15 or Dalmane 30 every night as i have for the last 21 years, they are Lifesavers for me because if i miss more than a couple of days in a row of sleep It gets ugly really ugly fast, the PTSD monsters that i have control over take control and i become super hyper vigilant well at losing myself in depression and becoming scared of any man that comes near me and a whole bunch of other stuff related to my captivity and abuse as a P.O.W. it sucks and it was bad the first time let alone reliving it over and over and something setting you off so that you are in one long continuous flashback.

I lived in the mountains once for about ten years, and the barometric pressure really effected me. I had terrible migraines that the pressure systems only made worse.

I have not had any of the eating while sleeping problems with Ambien that some folks have, I eat enough anyway, lol. I would stay away from it if you had that problem on a one time basis, who knows what would happen long term.

I was given Klonopin daily once, I took one dose at bedtime. I was going to my doctor's office one afternoon, and rolled my car. Fortunately no one was injured. A slight bump on the head was all I got. I stopped the Klonopin and had terrible withdrawals from it, that required medical treatment.

Be very careful if you decide on the benzos, only doing them for 90 days is a good idea. As long as you are aware of everything, and you sound like you are, you'll be fine. We are all different.

Take care of yourself.

Hugs, Annette

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Report This| Share this:what can i do???I lived in the mountains once for about ten years, and the barometric pressure really effected me. I had terrible migraines that the pressure systems only made worse.

I have not had any of the eating while sleeping problems with Ambien that some folks have, I eat enough anyway, lol. I would stay away from it if you had that problem on a one time basis, who knows what would happen long term.

I was given Klonopin daily once, I took one dose at bedtime. I was going to my doctor's office one afternoon, and rolled my car. Fortunately no one was injured. A slight bump on the head was all I got. I stopped the Klonopin and had terrible withdrawals from it, that required medical treatment.

Be very careful if you decide on the benzos, only doing them for 90 days is a good idea. As long as you are aware of everything, and you sound like you are, you'll be fine. We are all different.

Everything regarding the medically-supported abrupt withdrawal is on hold right now pending my surgical battery change.

This is really sad for me, as I have titrated down so much already, and now I don't know if I'll be able to tolerate the lower level without my SCS.

I'm going to try, but if I cannot, I'll have to wait until post op. I don't experience the battery change as terribly painful, as I don't have much sensation, almost none, where the incision is made. Still, it does hurt, but it's not like neuro pain and it passes quickly.

Mostly, it's the wait and all of the effort and discomfort involved with the titration down.

Everything regarding the medically-supported abrupt withdrawal is on hold right now pending my surgical battery change.

This is really sad for me, as I have titrated down so much already, and now I don't know if I'll be able to tolerate the lower level without my SCS.

I'm going to try, but if I cannot, I'll have to wait until post op. I don't experience the battery change as terribly painful, as I don't have much sensation, almost none, where the incision is made. Still, it does hurt, but it's not like neuro pain and it passes quickly.

Mostly, it's the wait and all of the effort and discomfort involved with the titration down.

Wow! What a sweet thing to say! I've admired you since the first time I read the site <3 Nurses have that thing, right? We use both our heart and brain equally for so long that it becomes our nature.

Of course, it takes a long time, but we old RNs never forget the feeling. Even having not worked in our profession for a while, we'll never lose the inner-RN.

I'll be off to see my neurosurgeon later today and hope that this simple procedure can be expedited.

I do all I can to not schedule morning appointments for anything.

The procedure is not very painful; The pain is in the waiting for insurance approval.

Again, thank you for your sweet compliment. I'm blushing for real.

There have been some interesting topics discussed as of late.

You were up early! OMG, 10 AM is first thing in the morning for me, unless I haven't gone to sleep yet.

I am surprised that your breast surgery wasn't painful. That was two years back already, right?

Hugs right back,

Bet

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Report This| Share this:what can i do???Wow! What a sweet thing to say! I've admired you since the first time I read the site <3 Nurses have that thing, right? We use both our heart and brain equally for so long that it becomes our nature.

Of course, it takes a long time, but we old RNs never forget the feeling. Even having not worked in our profession for a while, we'll never lose the inner-RN.

I'll be off to see my neurosurgeon later today and hope that this simple procedure can be expedited.

I do all I can to not schedule morning appointments for anything.

The procedure is not very painful; The pain is in the waiting for insurance approval.

Again, thank you for your sweet compliment. I'm blushing for real.

There have been some interesting topics discussed as of late.

You were up early! OMG, 10 AM is first thing in the morning for me, unless I haven't gone to sleep yet.

I am surprised that your breast surgery wasn't painful. That was two years back already, right?

Yep, two years and a few months. I was able to cut my methadone in half within a couple of weeks of the surgery. I had so much less back/shoulder pain, I did not even notice any incisional pain.

Being an old night nurse, and in pain much of the time I spend in bed (I hate being in bed), I don't go to bed until early AM, around 4 AM, then I take advantage of the meds I am allowed and sleep for 5-6 hours. Doze off and on another hour or two, and get up.

All of us are fairly comfortable with our own illnesses, but others scare the **** out of us. I can deal with what I have, but cannot imagine how you deal with what you have.

Hugs, Annette

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Report This| Share this:what can i do???Yep, two years and a few months. I was able to cut my methadone in half within a couple of weeks of the surgery. I had so much less back/shoulder pain, I did not even notice any incisional pain.

Being an old night nurse, and in pain much of the time I spend in bed (I hate being in bed), I don't go to bed until early AM, around 4 AM, then I take advantage of the meds I am allowed and sleep for 5-6 hours. Doze off and on another hour or two, and get up.

All of us are fairly comfortable with our own illnesses, but others scare the **** out of us. I can deal with what I have, but cannot imagine how you deal with what you have.

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